Individual
ESED MUSTAFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 834-2273
Mailing address
1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104-1004
(314) 617-2359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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